Diane Louise Wallendjack, EDD, NCSP

NPI #1689183592 in Riverside, Illinois

Provider Information

NPI Number: 1689183592
Entity Type: Individual
Name: Diane Louise Wallendjack, EDD, NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: EDD, NCSP
Enumeration Date: Sep 22, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 65 WOODSIDE RD
City: Riverside
State: Illinois
ZIP Code: 60546-1974
Phone: (708) 447-3896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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